Active NPI
Jin Jie Xue, D.M.D.
- Dentist
- Fort Gordon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15463
- Practice address
- BLDG 38801 Academic Dr Suite B & C
USA Dentac
Ft Gordon, GA 30905-5660 - Phone
- (706) 787-6927
- Fax
- (706) 787-2082
- NPI assigned
- Jul 22, 2013
- Last updated
- Jul 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15463 | MD | Primary |
Addresses
Primary practice location
BLDG 38801 Academic Dr Suite B & C
USA Dentac
Ft Gordon, GA 30905-5660
Mailing address
BLDG 38801 Academic Dr Suite B & C
USA Dentac
Ft Gordon, GA 30905-5660
Phone (706) 787-6927
Other names 1
- Julie Xue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15463 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Dentist | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients |
Locations
600 N Wolfe St
#266
Baltimore, MD 21287
Phone (410) 502-4340
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
Interoperability endpoints
- jxue1181179@direct.hopkinsmedicine.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba Jhu - Dental/Oral Surgery
- General Practice Dentistry
- Baltimore, MD
- NPI 1033190442
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1912349812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDG 38801 ACADEMIC DR SUITE B & C",
"address_2": "USA DENTAC",
"city": "FT GORDON",
"state": "GA",
"postal_code": "309055660",
"telephone_number": "706-787-6927",
"fax_number": "706-787-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 38801 ACADEMIC DR SUITE B & C",
"address_2": "USA DENTAC",
"city": "FT GORDON",
"state": "GA",
"postal_code": "309055660",
"telephone_number": "706-787-6927",
"fax_number": "706-787-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XUE",
"first_name": "JIN",
"middle_name": "JIE",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-22",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "XUE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.